Validation of Cincinnati Pre-hospital Stroke Severity Scale to Predict Large Vessel Occlusion in Acute Ischemic Stroke Patients among Chinese Population
Background and Purpose: The Cincinnati Pre-hospital Stroke Severity Scale (CPSSS) is a brief 3-item assessment tool to predict stroke severity and large vessel occlusion (LVO)designed for pre-hospital and emergency department use.We validated the clinical utility of CPSSS in identifying acute ischemic stroke (AIS) patients with LVO in Chinese population.Methods: All AIS patients from January 1, 2013 to December 31, 2014 were retrospectively reviewed.We enrolled those patients with symptom onset less than 24 hours and digital subtraction angiography record were enrolled in our study.The score of CPSSS was evaluated according to the National Institutes of Health Stroke Scale (NIHSS) from admission record information.Receiver operating curves, area under the curve, and likelihood ratios were used to evaluate the predictive value for LVO.Results: One hundred and forty patients were enrolled (75.7% male, mean age 64 years) in our study.Of them, the median NIHSS score was 4, range from 0 to 39.Large vessel occlusion confirmed by DSA was present in 42 (30%) of 140 patients.Receiver operating curves showed an acceptable capacity to predict LVO of the CPSSS scale (area under the curve 0.699).A CPSSS score≥1 had sensitive 61.9% and specific 72.5%,positive likelihood ratio 2.25, negative likelihood ratio 0.53 for detecting LVO.Conclusions: The CPSSS scale is a simple tool that may be useful to identify patients with acute ischemic stroke with LVO in the pre-hospital setting in Chinese acute ischemic stroke population.
Cincinnati Pre-hospital Stroke Severity Scale acute ischemic stroke large vessel occlusion
Wei Zheng Yuanqi Zhao Min Zhao Lixin Wang
1Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou,Guangdong, C Department of Neurology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou,Guangdong, Chi Department of Neurology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou,Guangdong, Chi
国内会议
广州
英文
347-355
2015-11-01（万方平台首次上网日期，不代表论文的发表时间）